Dr Mark W Peterson, MD - Medicare Radiology in Lewiston, ID

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Dr Mark W Peterson, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Lewiston, Idaho. His current practice location is 415 6th St, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 799-5335.

Dr Mark W Peterson is licensed to practice in Idaho (license number M5240) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356312524.

Contact Information

Dr Mark W Peterson, MD
415 6th St,
Lewiston, ID 83501-2431
(208) 799-5335
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark W Peterson
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
Location415 6th St, Lewiston, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356312524
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 09/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830092857
  • Enrollment ID: I20040812001408

Medical Identifiers

Medical identifiers for Dr Mark W Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356312524NPI-NPPES
P00165374OtherRAILROAD MEDICARE
0192980OtherWALABOR & INDUSTRIES
000010005909OtherIDREGENCE BS OF IDAHO
71498OtherIDBLUE CROSS OF IDAHO
8156473MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M5240 (Idaho)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology M5240 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark W Peterson allows following entities to bill medicare on his behalf.
Entity NameTri-state Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598814352
PECOS PAC ID: 4082502422
Enrollment ID: O20040308001123

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark W Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark W Peterson, MD
531 4th Ave,
Lewiston, ID 83501-2450

Ph: (208) 743-4393		Dr Mark W Peterson, MD
415 6th St,
Lewiston, ID 83501-2431

Ph: (208) 799-5335

Reviews and Comments


Radiology Doctors in Lewiston, ID

Dr. John W. Ho, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-750-7445    
Dr. Khadijeh S. Zarkoob, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 504 6th St, Lewiston, ID 83501
Phone: 208-799-5600    
Dr. Michael Todd Burtis, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 531 4th Ave, Lewiston, ID 83501
Phone: 208-743-4393    
Norman Robert Willis, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 504 6th St, Lewiston, ID 83501
Phone: 208-799-5600    Fax: 208-799-5755
Dr. Gregory Robert Spurling, M.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 531 4th Ave, Lewiston, ID 83501
Phone: 208-743-4393    
Dr. Michael E Bell, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-799-5335    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.